DR. Johnny Richard Green JR., DO

NPI #1851979983 in Oxford, Mississippi

Provider Information

NPI Number
1851979983
Entity Type
Individual
Name
DR. Johnny Richard Green JR., DO
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine
Credential
DO
Enumeration Date
Mar 30, 2021
Last Updated
Mar 14, 2025

Practice Location

Address
81 ED PERRY BLVD STE 107
City
Oxford
ZIP Code
38655-3465
Phone
(662) 636-5290

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Student in an Organized Health Care Education/Training Program

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